ࡱ> NPM#` 6bjbj\.\. 7<>D>Da   4|||8D\4'`6"XXXoit<%'''''''''''''$(h*K'E bkobbK'XX'rrrb^RX X%'rb%'rr:m$," $XT QS>|j$ %,'0'$Rx+*x+$x+ $vTrD';K'K'^'bbbb444 444444 MINNESOTA STATE UNIVERSITY, MANKATO School of Nursing Patrick Willette Memorial Nursing Scholarship Application Student Name:  FORMTEXT       Tech I.D. Number:  FORMTEXT       Instructions: Each scholarship criteria must be specifically addressed with identified supportive evidence. Please attach any supporting data, such as references or personal statements. Only scholarship applications which address all criteria will be considered. Please check each box of the criteria you have addressed. Criteria: Supportive Evidence: FORMCHECKBOX Must currently be enrolled in the nursing program  FORMCHECKBOX Unofficial transcript with cumulative GPA highlighted FORMCHECKBOX Have a GPA of 3.0 or higher  FORMCHECKBOX Attach typed essay (one page or less) FORMCHECKBOX Submit an essay (one page or less) addressing how the award will make recipient a better nurse  FORMCHECKBOX Lost a parent through death before the (students) age of 25, OR lost a spouse through death, OR spouse has a serious terminal illness or disability  FORMCHECKBOX Have never received this award   FORMTEXT       # of credits for which you are or will be enrolled during spring semester of this application For the spring semester of this application, please list all courses in which you are enrolled:  FORMTEXT       For the fall semester of the next aHln     ( * , T V j l n x z | xeUAeU&jhaQh66E5OJQJUh#h B5CJOJQJaJ%jhaQ5OJQJUmHnHu&jhaQh66E5OJQJUhaQ5OJQJjhaQ5OJQJUh#h BCJOJQJaJhJxh BCJOJQJaJhJxOJQJhJxhJx5OJQJ^Jh#h B5OJQJh#h B5CJOJQJh#h B5CJOJQJHln, . | ~ | }     ( $Ifgd B0`]0^``gd Bgd B$a$gdJx$a$gd B166 | }     ( ) * 8 9 : ; n o p ~ ųpXpG8ph#hJxCJOJQJaJ hJxhJxCJOJQJ^JaJ.jh#hJx5CJOJQJUaJ(jh#hJx5CJOJQJUaJh#hJxCJOJQJaJh#hJx5CJOJQJaJh#h BCJOJQJaJ"h#h#5>*CJOJQJaJh#>*CJOJQJaJh#h B>*CJOJQJaJh#h BCJOJQJaJh#h BCJOJQJaJ( ) ; m n o NE8EEE $IfgdJx $Ifgd Bkd$$IfTl4F?+,"` @ t06    44 lapytJxT~  ! " 0 1 2 3 òËò|dòLò|.j`h#hJx5CJOJQJUaJ.j h#hJx5CJOJQJUaJh#hJxCJOJQJaJ.jh#hJx5CJOJQJUaJh#hJxCJOJQJaJ hJxhJxCJOJQJ^JaJh#hJx5CJOJQJaJ(jh#hJx5CJOJQJUaJ.j@h#hJx5CJOJQJUaJ )kd$$IfTl4ri?+," , t0644 lapytJxT $Ifgd B $Ifgd B $IfgdJx ! 3 2) $IfgdJx $Ifgd Bkd~$$IfTl4ri?+," , t0644 lapytJxT <kd$$IfTl4\i?+," ` t0644 lapytJxT $Ifgd B > @ A B P Q R S s u v w x y òu]òQB7haQ5>*OJQJjhaQ5>*OJQJUh BCJOJQJaJ.jhJxhJx5CJOJQJUaJhJx5CJOJQJaJ"jhJx5CJOJQJUaJh#hJxCJOJQJaJh#hJxCJOJQJaJ hJxhJxCJOJQJ^JaJh#hJx5CJOJQJaJ(jh#hJx5CJOJQJUaJ.jh#hJx5CJOJQJUaJ = > ? @ A /kd$$IfTl4\i?+,"   t0644 lapytJxT $Ifgd B $IfgdJxA S r s t u h$If^hgdJx $IfgdJx $Ifgd Bu v w x 0+++gd Bkd^$$IfTl4\i?+,"   t3330644 lapytJxT   0000۷n[KIUh#hm5CJOJQJaJ%jhQ45OJQJUmHnHu&j hQ4h66E5OJQJUhQ45OJQJjhQ45OJQJUh#h<;CJOJQJaJh#h BCJOJQJaJh#hlCJOJQJaJ(jhaQ5>*OJQJUmHnHujhaQ5>*OJQJU)jT haQh66E5>*OJQJU0000B1D1F1H111266Tkd $$Ifl0,"LL t644 laytwCk $Ifgd BgdgdQ^gdlgd Bcademic year, please list all courses in which you will enroll:  FORMTEXT       Cumulative GPA:  FORMTEXT      Nursing GPA:  FORMTEXT       A note of gratitude must be sent to the donor by the date indicated in the award letter.  000000000000000000޿~rcXCc.(jhm 5>*OJQJUmHnHu)j hm hvS5>*OJQJUhm 5>*OJQJjhm 5>*OJQJUhjCJOJQJaJh>maCJOJQJaJh#hwCkCJOJQJaJh#hCJOJQJaJh#hbOJQJh#hQ^5OJQJh#hb5OJQJ%jhQ45OJQJUmHnHujhQ45OJQJU&jP hQ4h66E5OJQJU0001111012141>1@1D1H111126666 66666­~ogcagcgcgcPGhJxhw{aJ hJxhw{CJOJQJ^JaJUhvSjhvSUht\h BCJOJQJaJht\hCJOJQJaJh#hOJQJ(jhm 5>*OJQJUmHnHu)jP hm hvS5>*OJQJUhm 5>*OJQJh>maCJOJQJaJh#hwCkCJOJQJaJhwCkOJQJjhm 5>*OJQJU   Patrick Willette Memorial Nursing Scholarship Application PAGE  PAGE 1 6 6 66666666666666666gd Bh]hgdJx &`#$gdJxgdJxgdJx666666666666666666ht\h BCJOJQJaJh?@ASrstuvwxMa&'()0@0@0@0@0@0@0@0@0@0@0@0@0@0 @0 @0 @0 @0 @0@0 `0 @0 @0 @0 @0 @0@0 `0 @0 @0 @0 @0 @0@0 `0 @0 @0 @0 @0@0 `0 `0 @0 @0 @0@0 `0 @0 @0 @0@0@0@0@0@0@0@0@00 0 0 @0@00@0h00@0h00@0h00@0h00@0@0@0@01h0 0h0 0@0@0h00h00@0@000$67qs|}(;mno 3@ra&'@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@ 0@0`0@0@0@0@ 0@0`0@0@0@0@ 0j00j00j00dj00 j00h0#0$dÊh0#0h0#0@0j0'0j0'0@00}  00@0 0 HS```c ~ 0066 ( A u 66 6 )9o!1AQxMY_$FFG$G$G$G$G$G$G$FFFFFHOSZ\c!!Df@0(  n  <fd @ ?"  studentname techidnumberCheck1Check5Check2Check6Check3Check4Check7credits springcourses fallcoursescumugpaText1)o!BxM :2R`|~ }~ ~ ~~ df ~ L~ ,~ ̈~ ~ _ $$. ##*559*urn:schemas-microsoft-com:office:smarttagsplace=*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName8*urn:schemas-microsoft-com:office:smarttagsCity ]37r''(:;mn 23=>?@wxL`a'T}~^`h ^`hH.h TT^T`hH.h $ L$ ^$ `LhH.h   ^ `hH.h ^`hH.h L^`LhH.h dd^d`hH.h 44^4`hH.h L^`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. 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